What should I pay attention to after cervical conization?

Cervical conization is a surgical method that helps women treat and resolve some reproductive diseases, but they should also be more vigilant after the operation because it can easily cause wound infection or cervical stenosis, so scientific and healthy care must be paid attention to.

1. Bleeding from stump:

The literature reports the incidence rate as high as 30%! However, after we improved the surgical procedures, the incidence rate was less than 2%. Early bleeding is mostly due to the shedding of electrocoagulation scab or loose ligation on the wound, so we require patients to move less in the early stages of surgery (while general surgery encourages early activity); bleeding about 2 weeks after surgery is mostly caused by suture absorption and loss of tension, and wound infection can also trigger or aggravate bleeding. For patients with bleeding after cone biopsy, those with mild bleeding (less than menstrual volume) can be observed and treated with hemostatic drugs; those with severe bleeding need direct visual inspection to find the bleeding site, apply pressure to stop bleeding, and suture if necessary.

2. Wound infection:

The incidence rate is about 5%. In addition to emphasizing the inspection of vaginal cleanliness, treatment of vaginal inflammation, and vaginal douching before surgery, antibiotics should be used appropriately after surgery. We ask patients to start vaginal douching one week after surgery to reduce wound infection and promote healing. At first, you can use some medicine (you should go to the hospital for specific details) to dilute and then rinse. After 2 weeks, you can rinse with boiled water. You need to buy special flushing equipment (available at pharmacies). It usually takes 2-3 months to flush, and it cannot be flushed during menstruation.

3. Cervical stenosis:

This occurs in about 4% of patients. We ask patients to pay attention to their menstrual period after surgery. If they experience menstrual irregularities or abdominal pain, they should seek medical attention promptly and undergo cervical dilation if necessary.

4. Regarding regular follow-up:

We recommend monthly visits to your doctor for the first three months after cervical conization. The main purpose is to check the wound healing and deal with any abnormalities in a timely manner. We will decide whether to continue vaginal douching based on the situation. At 3 months after surgery, cervical cytology (TCT) or human papillomavirus will be rechecked; followed by rechecks at 6, 9, and 12 months, with the same items as before. The second year, you need to continue to check. If the previous times are normal, you can check every six months; if they are also normal, you can check once a year.